Hagstrom, David Keith

Hagstrom, David Keith is an individual health care provider with primary practice located at 3505 22Nd Pl , Lubbock TX 79410-1315. He recently has only one registered license in Allopathic & Osteopathic Physicians / Interventional Pain Medicine, which is considered as his primary health care specialty. Hagstrom, David Keith can be contacted via phone (806) 785-5700.

Contact Information

Primary practice address
3505 22Nd Pl Lubbock TX 79410-1315
Phone: (806) 785-5700
Fax: (806) 785-6768
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Interventional Pain Medicine 208VP0014X H1967 Texas

Profile Details

NPI number 1154493997
LBN Legal business name Hagstrom, David Keith
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 15th, 2006
Last updated Dec 1st, 2021 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1154493997 NPPES
Texas MEDICAID 128109901
Texas Other 114307100

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